Use and Cost of Orthosis in Conservative Treatment of Acute Thoracolumbar Fractures
| Autor: | João Fonseca, Daniela Linhares, Mnuel Ribeiro da Silva, Bernardo Sousa-Pinto, Nuno Neves |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Orthotic Devices medicine.medical_specialty MEDLINE Computer-assisted web interviewing Conservative Treatment Thoracic Vertebrae Gross domestic product 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Expert Testimony Surgeons 030222 orthopedics Braces Lumbar Vertebrae business.industry Survey research Middle Aged Brace Europe Conservative treatment Systematic review North America Public hospital Physical therapy Spinal Fractures Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Spine. 46:E534-E541 |
| ISSN: | 1528-1159 0362-2436 |
| Popis: | STUDY DESIGN Survey study. OBJECTIVE Assess practices and opinions of spine specialists from Europe and North America on orthosis use in adult patients with acute thoracolumbar (TL) fractures. Evaluate cost of the devices. SUMMARY OF BACKGROUND DATA Although orthosis are traditionally used in conservative treatment of TL fractures, recent systematic reviews showed no benefit in patient's outcomes. METHODS A search for contact authors with publications on spine fractures from all European and North American countries was performed. An online questionnaire was sent on demographic data, practice setting, mean number of fractures treated, use of orthosis upon choice for conservative treatment, and average orthosis cost. Data was analyzed based in world regions, economic rank of the country, and health expenditure. RESULTS We received 130 answers, from 28 European and five North American countries. Most responders had more than 9 years of practice and worked at a public hospital. 6.2% did not prescribe a brace in any patient with acute TL fractures conservatively treated and 11.5% brace all patients. In a scale from 1 to 5, 21 considered that there is no/low benefit (1) and 14 that bracing is essential (5), with a mean of 3.18. Europeans use orthosis less commonly than North Americans (P |
| Databáze: | OpenAIRE |
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